Understanding Executive Functioning Skills and ADHD

By Dr. Mary Rooney, Ph.D.

In the past few years there has been a surge in our understanding of executive functioning skills and how they overlap with ADHD. As a parent of a child or teen with ADHD you've likely come across articles about executive functioning online or heard the term mentioned by teachers at your child's school. However, many parents don’t feel as though they really understand what executive functioning skills are or how they relate to ADHD. Developing a clear understanding of executive functions can help you think more broadly about your child's ADHD symptoms, and might even help you identify new strategies for helping your child succeed at school and at home.

Executive functions are brain-based abilities responsible for helping us with organization, focus, planning, delayed gratification, and emotion regulation. They represent the brain's central executive, responsible for overseeing the management of our decisions, behaviors, and emotions - especially when we are planning and working toward achieving a specific goal. Executive functioning skills exist on a continuum. Some people having very strong executive functioning abilities (these are people who are planners and seem to always be on top of everything in their busy lives!) and others have weaker executive functioning skills. As you might have guessed, research has shown that kids and adults with ADHD generally have weaknesses in executive functioning skills.

Dr. Thomas Brown, a leading expert on executive functioning skills and ADHD, breaks executive functions down into six separate interconnected clusters. As you read though the summary of these clusters below, think about your child and his or her specific strengths and weaknesses in these six areas. It might be helpful to consider these clusters within the context of an everyday activity like completing homework or getting ready for school in the morning:

  1. Analyzing and Activating: Taking a big picture overview of the job that needs to be completed, organizing thoughts and materials, prioritizing tasks, and initiating work.
  2. Focus: Focusing attention on the project or task, staying focused, and shifting attention back to the task in the fact of distractions.
  3. Effort: Continuing to put in effort until the task is completed, and working at a pace that isn't too fast and careless or too slow and unproductive.
  4. Emotion: Managing frustration when things get tough.
  5. Memory: Remembering and recalling the steps and information that is needed in order to reach a goal, and using "working memory" to make mental calculations along the way.
  6. Action: Monitoring progress and adjusting actions and plans as needed until the goal is reached.

All children develop executive functioning skills gradually as they age. A five-year-old child has limited executive functioning abilities, and will struggle to work consistently toward a goal or complete a multi-step task. As they age their executive functioning skills will gradually develop and by adolescence they will see significant gains in their ability to achieve long term goals and complete complex tasks. However, when a child has ADHD these executive functioning skills develop more slowly. In fact, it's not uncommon for a child, adolescent, or young adult with ADHD to have executive functioning skills that are developmentally about two years behind their peers. This is one of the reasons why a very bright student with ADHD might struggle to stay organized or complete and turn in simple homework assignments. Many aspects of the student's intelligence are highly developed and possibly even advanced, but the executive functioning skills that would allow them to reach their full academic potential are delayed.

As parents, if you can identify which executive functioning skills are weak areas for your child, then you can focus on teaching him or her these skills and providing supports that will help your child compensate until his or her skills are more developed. There are a number of excellent books available that you can use as a guide. My favorites are Smart but Scattered: The Revolutionary "Executive Skills" Approach to Helping Kids Reach Their Full Potential and Smart but Scattered Teens, both by Peg Dawson Ed.D. and Richard Guare, Ph.D. As you read and learn more about executive functioning you may just find that a targeted executive functioning skills-based approach is just what your child needs to move closer to reaching his or her full potential.


 

ABOUT DR. MARY ROONEY

Mary Rooney, Ph.D., is a licensed clinical psychologist in the Department of Psychiatry at the University of California San Francisco. Dr Rooney is a researcher and clinician specializing in the evaluation and treatment of ADHD and co-occurring behavioral, anxiety, and mood disorders. A strong advocate for those with attention and behavior problems, Dr. Rooney is committed to developing and providing comprehensive, cutting edge treatments tailored to meet the unique needs of each child and adolescent. Dr. Rooney's clinical interventions and research avenues emphasize working closely with parents and teachers to create supportive, structured home and school environments that enable children and adolescents to reach their full potential. In addition, Dr. Rooney serves as a consultant and ADHD expert to Huntington Learning Centers.

ABOUT HUNTINGTON

Huntington Learning Center is the tutoring and test prep leader. Its certified tutors provide individualized instruction in reading, phonics, writing, study skills, elementary and middle school math, Algebra through Calculus, Chemistry, and other sciences. It preps for the SAT and ACT, as well as state and standardized exams. Huntington programs develop the skills, confidence, and motivation to help students of all levels succeed and meet the needs of Common Core State Standards. Founded in 1977, Huntington's mission is to give every student the best education possible. Call us today at 1.800.CAN LEARN to discuss how Huntington can help your child. For franchise opportunities please visit www.huntingtonfranchise.com.

This website does not provide medical advice, diagnosis, or treatment. The material on this site is provided for educational purposes only.

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